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Ground Zero Analysis, Inc. <br />SITE SAFETY PLAN <br />SIGN -OFF PAGE <br />I have read the Site Safety Plan and fully understand the hazards associated with the following job: <br />Wilbur -Ellis 212 Industrial Dr., Stockton, CA <br />I will comply with the minimum safety requirements set forth in the Site Safety Plan. I agree to <br />notify the responsible employee of GZA should any unsafe acts be witnessed by me while I am on <br />this site. <br />PRINT NAME SIGNATURE DATE <br />Safety Plan approved by: <br />John P. Lane, Corporate Safety Officer <br />PAGE 14 <br />